Provider Demographics
NPI:1184941395
Name:PT FOR ALL PC
Entity type:Organization
Organization Name:PT FOR ALL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAROSLAVSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:718-263-6388
Mailing Address - Street 1:9952 66TH RD APT 9Z
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4429
Mailing Address - Country:US
Mailing Address - Phone:718-263-6388
Mailing Address - Fax:646-395-1895
Practice Address - Street 1:9952 66TH RD LBBY C
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4461
Practice Address - Country:US
Practice Address - Phone:718-263-6288
Practice Address - Fax:646-395-1895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029811-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty